pre req clear form

7/31/2019 Pre Req Clear Form

1/1

Prerequisite Clearance Request

Instructions: Follow steps 1-4 and submit at least two weeksbeforeyourregistration date. Check the

Assessment website at www.deanza.edu/admissions/placement/prereqclear.html for exceptions to using this form.

DATE: ___________ QTR: F W Sp Su YEAR:________ STUDENT ID: _____________

NAME LAST: _____________________ FIRST: ______________________ MIDDLE: __________________

List De Anza course(s) for which you are requesting prerequisite clearance. Example usingEWRT 1C Literature

and Composition: .EWRT COURSE NO.1C TITLE Literature and Composition.

DEPT.________________ COURSE NO. __________ TITLE_________________________________

DEPT.________________ COURSE NO. __________ TITLE _________________________________



Include BOTH A and B

Catalog

description from

prior college for

course(s) that you

want considered for

prerequisiteclearance.

*College transcript with final grades for courses from prior colleges that you want

considered for prerequisite clearance.Include one of the following:

If you plan to attend De Anza for two quarters or more, submit an Official

Transcript in a sealed envelope.

ORIf you plan to attend De Anza for only one quarter, you may submit an Unofficial

Transcript.

*High school transcripts will NOT be considered for prerequisite clearance.If you want to use AP scores to

clear prerequisites, submit a College Board score report.

Attach your completed Prerequisite Clearance Request form to your Proof of Prerequisite Coursework documents

and submit in one of the following ways.

SealedorUnofficialTranscriptPlaceDocumentsIn:

ASSESSMENTCENTERDROPBOX

Locatednearsouthentranceof

StudentandCommunityServicesBuilding

Sealed Transcript

Mail Documents To:

De Anza College

21250 Stevens Creek Blvd.

Cupertino, CA 95014

Attn: Assessment Office

Unofficial TranscriptAttach electronic copy

of proof of coursework

and e-mail all documents to

[email protected]

Request cannot be processed until all documents are received. Allow 3-5 working days. Rev. 02.03.12

06/18/2012 2012 20107147

Pai Rohan

SPAN 00970 Elementary Spanish (Third Quarter)